It's Eating Disorder Awareness Week
February 26th-March 1st is Eating Disorder Awareness Week here in the US. Eating disorders have the highest mortality rate of any mental illness, with at least one death every 62 minutes as a direct result of an eating disorder. With at least 30 million people in the United States suffering from an eating disorder, these mental illnesses are destructive in America. If you think you suffer from an eating disorder, ask yourself what percentage of your day do you spend thinking about food, weight, or body image? Below are some symptoms to look for if you think you or someone you know suffers from an eating disorder.
Emotional and behavioral signs of an eating disorder:
- Dramatic weight loss
Dresses in layers to hide weight loss or stay warm
Is preoccupied with weight, food, calories, carbohydrates, fat grams, and dieting
Refuses to eat certain foods, progressing to restrictions against whole categories of food
Makes frequent comments about feeling “fat” or overweight despite weight loss
Complains of constipation, abdominal pain, cold intolerance, lethargy, and/or excess energy
Denies feeling hungry
Evidence of binge eating, including disappearance of large amounts of food in short periods of time or lots of empty wrappers and containers indicating consumption of large amounts of food
Evidence of purging behaviors, including frequent trips to the bathroom after meals, signs and/or smells of vomiting, presence of wrappers or packages of laxatives or diuretics
Appears uncomfortable eating around others
Develops food rituals (e.g. eats only a particular food or food group [e.g. condiments], excessive chewing, doesn’t allow foods to touch)
Skips meals or takes small portions of food at regular meals
Disappears after eating, often to the bathroom
Any new practice with food or fad diets, including cutting out entire food groups (no sugar, no carbs, no dairy, vegetarianism/veganism)
Fear of eating in public or with others
Steals or hoards food in strange places
Drinks excessive amounts of water or non-caloric beverages
Uses excessive amounts of mouthwash, mints, and gum
Hides body with baggy clothes
Maintains excessive, rigid exercise regimen — despite weather, fatigue, illness, or injury — due to the need to “burn off ” calories
Shows unusual swelling of the cheeks or jaw area
Has calluses on the back of the hands and knuckles from self- induced vomiting
Teeth are discolored, stained
Creates lifestyle schedules or rituals to make time for binge-and-purge sessions
Withdraws from usual friends and activities
Looks bloated from fluid retention
Frequently diets
Shows extreme concern with body weight and shape
Frequent checking in the mirror for perceived flaws in appearance
Has secret recurring episodes of binge eating (eating in a discrete period of time an amount of food that is much larger than most individuals would eat under similar circumstances); feels lack of control over ability to stop eating
Purges after a binge (e.g. self-induced vomiting, abuse of laxatives, diet pills and/or diuretics, excessive exercise, fasting)
Extreme mood swings
Physical signs of eating disorders:
Noticeable fluctuations in weight, both up and down
Stomach cramps, other non-specific gastrointestinal complaints (constipation, acid reflux, etc.)
Menstrual irregularities — missing periods or only having a period while on hormonal contraceptives (this is not considered a “true” period)
Difficulties concentrating
Abnormal laboratory findings (anemia, low thyroid and hormone levels, low potassium, low white and red blood cell counts)
Dizziness, especially upon standing
Fainting/syncope
Feeling cold all the time
Sleep problems
Cuts and calluses across the top of finger joints (a result of inducing vomiting)
Dental problems, such as enamel erosion, cavities, and tooth sensitivity
Dry skin
Dry and brittle nails
Swelling around area of salivary glands
Fine hair on body (lanugo)
Thinning of hair on head, dry and brittle hair
Cavities, or discoloration of teeth, from vomiting
Muscle weakness
Yellow skin (in context of eating large amounts of carrots)
Cold, mottled hands and feet or swelling of feet
Poor wound healing
Impaired immune function
If you think you have the warning signs of an eating disorder, contact a therapist or the National Eating Disorders Helpline at 1-800-931-2237 or use the Click-to-Chat option at nationaleatingdisorders.org. For crisis situations, text “NEDA” to 741741.